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NPI Code Detail

MEDICARE: ROBERT VALDEZ

MEDICARE: ROBERT VALDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantNY

General Provider Information

NPI Number : 1386516755
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT VALDEZ
Provider Business Mailing Address
First Line : 12 BELLEVIEW AVE
Second Line :
City : OSSINING
State : NY
Zip : 10562-4310
Country : US
Telephone Number : 914-502-7479
Fax Number :
Provider Business Practice Location Address
First Line : 122 MAPLE AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10601-4706
Country : US
Telephone Number : 914-849-7897
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2025
Last Update Date : 12/16/2025

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Directions to “ ROBERT VALDEZ ” Practice Location

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